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Question ⬇

Physiological Integrity

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7. Postoperatively, a client's fingers are cold and pale. Which action should a nurse take?

Choices

Choices ⬆ ⬇

1. Apply warm blankets.

2. Check oxygen saturation on finger.

3. Encourage deep breathing.

4. Check blood sugar.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

Only one intervention will directly affect cold fingers.

Content Area: Adult Health, Circulation; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Basic Care and Comfort/Non-pharmacological Comfort Interventions

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Rationale ⬆

Physiological Integrity

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1.  

Answer 1 is correct because decreased blood flow can cause fingers to be pale and cool, such as one might see with Raynaud's phenomenon. Symptoms lessen when covered. Answer 2 is incorrect because oxygen saturation readings would be inaccurate if checked on a digit with poor blood flow. Answer 3 is incorrect because the problem is related to hypothermia, not hypoventilation. Answer 4 is incorrect because the fingers are cool and pale because of poor local blood flow. This is unrelated to blood sugar.

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